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Clinical Trials/NCT05248204
NCT05248204CompletedNot Applicable

Prospective, Randomized, Split-mouth Study Evaluating Clinical Performance of 3M™ Scotchbond™ Universal Plus Adhesive Compared to 3M Scotchbond Universal Adhesive for Posterior Class I & II Restorations With 3M Filtek™ Universal Restorative

Solventum US LLC1 site in 1 country51 target enrollmentStarted: June 14, 2022Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
51
Locations
1
Primary Endpoint
Retention of Restorative Material

Study Overview

Brief Summary

This research study is looking at a new bond-promoting substance (a dental adhesive called 3M™ Scotchbond™ Universal Plus Adhesive) used between the tooth and dental restoration (filling). This is a randomized, split-mouth study designed to evaluate whether Scotchbond™ Universal Plus Adhesive (SBU+) is as effective at bonding dental fillings as Scotchbond™ Universal Adhesive (SBU) for preparation of posterior Class I and Class II restorations in adult patients. Participants must have at least two (2) back teeth that need a filling either on the chewing surface alone (Class I) and/or on the chewing surface and between your teeth (Class II). One tooth will be restored using SBU+ and the other tooth will be restored using SBU adhesive, both filled using Filtek™ Universal Restorative as the filling material.

Detailed Description

This is a prospective, randomized, controlled, open-label, assessor-blinded, split-mouth, single-center post-market clinical follow-up study. The study is designed to compare the clinical efficacy of Scotchbond™ Universal Plus Adhesive with Scotchbond™ Universal Adhesive when used in self-etch mode for preparation of posterior Class I and Class II restorations using Filtek™ Universal Restorative material in adult patients.

Selected endpoints are based partly on the FDI World Dental Federation criteria. Subjects who meet all inclusion and none of the exclusion criteria and who have provided informed consent will be eligible for enrollment and must be treated within 21 days of screening. Either two pre-molars or two molars from each Subject will be randomized in a 1:1 ratio such that one of the teeth will be randomized to undergo restoration using SBU+ Adhesive (Treatment), and the other tooth will undergo restoration using SBU Adhesive (Control). Both study teeth will be restored using Filtek™ Universal Restorative material as the filling material. Individual subject participation is expected to last 2 years (± 45 days) with scheduled study visits at screening, day of restoration/baseline, and follow-up visits at 6 months (± 14 days), 1 year (± 30 days), and 2 years (± 45 days) after restoration. The entire duration of the study is expected to last approximately 3 years, with individual Subject participation expected to last up to 2 years (± 45 days).

To help minimize or avoid bias in the study, randomization of study teeth will occur after teeth preparation but before the initial application of any adhesive. All assessments will be performed by two dental examiners that are independent of the dentist that placed the restorations and are blinded to the treatment arms. All examiners will be trained and calibrated for the scoring criteria before any Subject assessment occurs, and examiners will be retrained and recalibrated if any new evaluator is added to the list of assessors. After the second examiner has completed their assessments, then the examiners will compare their evaluations and a consensus will be reached for each of the scoring criteria at each visit. A consensus will be reached before the Subject leaves the visit, and the consensus assessments will be entered into the Case Report Form (CRF).

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)

Masking Description

All assessments will be performed by two dental examiners that are independent of the dentist that placed the restorations and are blinded to the treatment arms.

Eligibility Criteria

Ages
18 Years to 70 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •The Subject is between the ages of 18 and 70 years old at time of consent.
  • •The Subject requires at least two direct composite restorations for posterior Class I or Class II carious lesions in vital teeth that are asymptomatic and with minimal mobility (< 1 mm in the buccolingual direction).
  • •Study teeth have a minimum buccolingual diameter of the occlusal surface that is at least 1/3 of the distance between the buccal and lingual cusps
  • •Teeth selected for Class II restorations need to have an adjacent tooth in a position that will allow for a contact relationship to be established.
  • •The Subject is able and willing to sign Informed Consent Form in English without assistance.
  • •The Subject is able and willing to be available for all scheduled study visits.
  • •The Subject is in good general health (ie, meets American Society of Anesthesiologists (ASA) Level I or ASA Level II classification criteria).
  • •The selected teeth need to have occlusal contact with an antagonistic natural tooth.
  • •The Subject has existing radiographic images of the study teeth of current and acceptable diagnostic quality obtained within the previous 12 months.

Exclusion Criteria

  • •The Subject has a history of adverse reaction to any materials used in this study.
  • •The Subject is pregnant or breast feeding at the time of screening.
  • •The Subject has fewer than 20 teeth.
  • •The Subject is taking part in or planned to be enrolled in an evaluation of other restorative materials at any time during the study.
  • •The Subject has advanced periodontal disease (ie, Grace & Smales Mobility Index grade ≥ 2) that involve the study teeth.
  • •The Subject had orthodontic appliance treatment within the previous 3 months.
  • •The Subject has pronounced enamel wear facets, indicating severe, on-going bruxism.
  • •The Subject has severe xerostomia.
  • •The study tooth has a history of or existing, prolonged tooth hypersensitivity.
  • •The study tooth is an abutment for fixed or removable prostheses.
  • •The study tooth has a fracture or is visibly cracked such that it may impact the longevity of the tooth.
  • •The carious lesion is stage RC5 or RC6 of the ICDAS radiographic scoring system.
  • •The Subject is unable to understand study procedures or provide consent in English.
  • •The Subject is an employee or student of the study investigator(s).
  • •Intraoperative Exclusion Criteria:
  • •1) The Subject has pulp exposure of either study tooth during the restoration procedure.

Arms & Interventions

Scotchbond Universal Plus Treatment

Experimental

Study tooth with posterior Class I or Class II carious lesion randomized to undergo restoration using Scotchbond Universal Plus (SBU+) Adhesive (Treatment).

Intervention: Scotchbond™ Universal Plus Adhesive (Device)

Scotchbond Universal Comparator

Active Comparator

Study tooth with posterior Class I or Class II carious lesion randomized to undergo restoration using the predicate device, Scotchbond Universal (SBU) Adhesive (Control).

Intervention: Scotchbond™ Universal Adhesive (Device)

Outcomes

Primary Outcomes

Retention of Restorative Material

Time Frame: 24 months post-restoration

The percentage of restorations with partial or complete loss of the restoration materials

Fracture of Restorative Material

Time Frame: 24 months post-restoration

Fractures on study teeth graded on a 0-4 grading scale with a score of 1 being Excellent/very good and a score of 4 being Unsatisfactory. Grading scale is based on modified FDI (Fédération Dentaire Internationale) World Dental Federation criteria.

Marginal Adaptation

Time Frame: 24 months post-restoration

Marginal adaptation of restorations graded on a scale of 1-5 with a score of 1 being Excellent/very good and a score of 5 being Poor. Grading scale is based on modified FDI World Dental Federation criteria.

Retention of Restorative Material

Time Frame: 24 months post-restoration

The percentage of restorations with partial or complete loss of the restoration materials

Fracture of Restorative Material

Time Frame: 24 months post-restoration

Fractures on study teeth graded on a 0-4 grading scale with a score of 1 being Excellent/very good and a score of 4 being Unsatisfactory. Grading scale is based on modified FDI (Fédération Dentaire Internationale) World Dental Federation criteria.

Marginal Adaptation

Time Frame: 24 months post-restoration

Marginal adaptation of restorations graded on a scale of 1-5 with a score of 1 being Excellent/very good and a score of 5 being Poor. Grading scale is based on modified FDI World Dental Federation criteria.

Secondary Outcomes

  • Retention of Restorative Material(12 months post-restoration)
  • Fracture of Restorative Material(12 months post-restoration)
  • Marginal Adaptation(12 months post-restoration)
  • Retention of Restorative Material(6 months post-restoration)
  • Fracture of Restorative Material(6 months post-restoration)
  • Marginal Adaptation(baseline day of restoration)
  • Marginal Adaptation(6 months post-restoration)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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